New York StateWorkers' Compensation BoardOFFICE OF THE CHAIR328 State Street Schenectady, New York 12305

Governor Andrew M. Cuomo

Subject No. 046-962

Changes to the List of Health Care Providers Authorized to Render Services to Injured Workers Under the Workers' Compensation Law

Date: July 13, 2017

Pursuant to Workers’ Compensation Law § 13-b, a provider must be licensed and registered with the New York State Education Department in order to maintain a Workers’ Compensation Board authorization(s).

The following have been removed from the list of providers authorized to treat injured workers and/or perform independent medical examinations within the New York State workers’ compensation system based on information provided by the New York State Education Department indicating that they do not currently have an active license to practice medicine in New York State.

NAME

LAST KNOWN CITY OF PRACTICE

AUTHORIZATION NUMBER*

EFFECTIVE DATE

Anand, Chandni Kaur

Sarasota

184567-6W

May 8, 2017

Anandasabapathy, Indra

Staten Island

117284-0W

May 8, 2017

Araujo, Robin

Huntington

C03574-3B

May 8, 2017

Arenas, Gilbert D.

Potsdam

161536-8W

May 8, 2017

Bansal, Jagdish P.

Bronx

111144-2W

May 8, 2017

Bapat, Aruna Vikas

Greer

152656-5B

May 8, 2017

Barzaga, Hazrati Naile

Rancho Cucamonga

246501-1B

May 8, 2017

Ben-Ezra, Jeffrey Mark

Marlboro

C07562-4W

May 8, 2017

Borgstrom, David Carl

Cooperstown

223363-3W

May 8, 2017

Brown, George Clifford

South Dartmouth

109553-8W

May 8, 2017

Burk, Farrell Fern

Brooklyn

C07402-3W

May 8, 2017

Cain, Lana Howard

Rochester

208768-2W

May 8, 2017

Campisi, Carmen Anthony

Howard Beach

C04008-1B

May 8, 2017

Carney, Nancy Draper

Warrensburg

186957-7W

May 8, 2017

Carter, David Alexander

Manlius

216065-3B

May 8, 2017

Cohen, Alan Lawrence

Bay Shore

157502-6B

May 8, 2017

Cullen, Christine Anne

Concord

188077-2W

May 8, 2017

Dhandayutham, Karur S.

Forest Hills

140864-0W

May 8, 2017

Dioguardi, Orestes Joseph

North Bellmore

C06589-8W

May 8, 2017

Dooley, Sean

Stony Brook

278079-9W

May 8, 2017

Dygert, Paula Aileen

Afton

230580-3W

May 8, 2017

Dzmitryieu, Aliaksandr

Johnson City

268775-4W

May 8, 2017

Findlay, Helen Marie

Orchard Park

134956-2W

May 8, 2017

Frankel, Joshua

Los Angeles

112313-2W

May 8, 2017

Friscia, Marisa

Troy

184056-0W

May 8, 2017

Gazonas, Olga

Astoria

C03788-9W

May 9, 2017

Ghate, Suresh D.

Jupiter

115109-1W

May 9, 2017

Gibson, Vanessa Renee

Syracuse

262935-0W

May 9, 2017

Graham, Galen E., Jr.

Southport

164470-7W

May 9, 2017

Gross, Marvin L.

New York

074818-6W

May 9, 2017

Haney, Daniel S.

Franklin

C09483-1W

May 9, 2017

Heimback, Dennis Philip

Williamsville

079708-4W

May 9, 2017

Hsiao, Chiu-Bin

Wexford

189253-8W

May 9, 2017

Hussain, Shafkat

Allentown

110235-9W

May 9, 2017

Joshi, Suhasini S.

Tappan

134175-9W

May 9, 2017

Kacyrat, Jamal

Norwich

155373-4W

May 9, 2017

Kahn, Leonard

Scarsdale

079055-0W

May 9, 2017

Karambelkar, Deepa J.

Sewickley

213309-8B

May 9, 2017

Kim, Kang Kiel

Poughkeepsie

111678-9W

May 9, 2017

Kuberka, Norbert J.

Buffalo

076803-6W

May 9, 2017

Kuperan, Arumugam

Potomac

139723-1W

May 9, 2017

Lalli, Robert G.

New York

152054-3B

May 9, 2017

Lee, Francis Youngin

New Haven

212949-2W

May 9, 2017

Livote, Joanne

Suffern

206388-1W

May 9, 2017

Logan, Joseph James

Bedford Hills

236696-1W

May 9, 2017

Longhi, James Joseph

Cooperstown

247174-6W

May 9, 2017

Lurie, Jerome L.

New Rochelle

079676-3W

May 9, 2017

Machac, Josef

New York

141227-9W

May 9, 2017

Mallin, Jason Roger

New Hyde Park

212793-4W

May 9, 2017

Mazzei, Elizabeth Oconnell

Englewood

137097-2W

May 9, 2017

McGrimley, William A.

Seneca Falls

C10441-6B

May 9, 2017

McKay, Scott Franklin

Lewiston

C03094-2W

May 9, 2017

Meltzer, Stanley P.

Fayetteville

089488-1W

May 9, 2017

Miletic, Miroslav

Long Island

132352-6W

May 9, 2017

Mirchandani, Gautam R.

Bedford Hills

236408-1W

May 9, 2017

Rabiea, Robert Joe

Delray Beach

201713-5W

May 10, 2017

Rastogi, Shiv N.

Spring Valley

126652-7W

May 10, 2017

Rolon, Maria Angeles

New York

208494-5W

May 10, 2017

Rossi, Dennis Robert

Lawrence

103747-2B

May 10, 2017

Rothman, Arthur R.

Oxford

078184-9W

May 10, 2017

Sagerman, Robert Howard

Fayetteville

078290-4W

May 10, 2017

Singh, Rajesh Kumar

Rockville Centre

114210-8W

May 10, 2017

Skachkova, Natalia

Bronx

237330-6W

May 10, 2017

Turner, Kincade Daphne

Rochester

269725-8W

May 10, 2017

Varughese-Raju, Joyce

Somerset

270464-1W

May 10, 2017

Veder, Alexander

Manalapan

207274-2W

May 10, 2017

Veliath, John G.

Riverhead

163432-8W

May 10, 2017

Wajid, Faiza

Hamburg

271789-0W

May 10, 2017

Watts, James P.

Syracuse

130600-0B

May 10, 2017

Webster, Dwight Albert, Jr.

Syracuse

137360-4W

May 10, 2017

Weiner, David J.

New York

120785-1W

May 10, 2017

Witt-Bockler, Elsie Marie

Myrtle Beach

180772-6W

May 10, 2017

Zerfas, Dorene Kay

Buffalo

270530-9W

May 10, 2017

Mallo, Charles J.

Andersonville

132331-0W

May 19, 2017

* Providers authorized to treat only, have an authorization number ending in "W" – Providers authorized to treat and perform independent medical examinations, have an authorization number ending in "B" – Providers authorized to perform independent medical examinations only, have an authorization number ending in "I"

These providers are prohibited from rendering treatment and care to injured workers and/or from performing independent medical examinations. Reports submitted for services rendered prior to the effective date, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine any of the above for services rendered prior to the effective date, should not be denied due to the removal of their authorizations.

Any questions regarding the authorized lists should be referred to the Medical Director’s Office at 1 (800) 781-2362.